| 摘要: |
| 目的：观察辨证施护在脑卒中后肩痛康复中的应用效果。方法：将脑卒中后肩痛患者120 例依照随机数字表法分成对照组及观察组各60 例，分别采用常规护理、常规护理加辨证施护，分析组间康复效果差异。结果：干预后，观察组总有效率为91.67%，高于对照组的78.33%，2 组比较，差异有统计学意义（P＜0.05）。2 组干预前Fugl-Meyer 评估（FMA）、Barthel 指数（BI） 评分比较，差异无统计学意义（P＞0.05）；观察组、对照组干预后FMA、BI 评分均高于干预前，差异有统计学意义（P＜0.05）；观察组干预后FMA、BI 评分均高于对照组，差异有统计学意义（P＜0.05）。2 组干预前神经功能缺损（NFD） 评分、视觉模拟评分法（VAS） 评分比较，差异无统计学意义（P＞0.05）；观察组、对照组干预后NFD 评分及VAS 评分均低于干预前，差异有统计学意义（P＜0.05）；观察组干预后NFD 评分及VAS 评分均低于对照组，差异有统计学意义（P＜0.05）。结论：在脑卒中后肩痛康复过程中联用中医辨证施护，能够获得良好的应用效果。 |
| 关键词: 脑卒中 肩痛 康复 辨证施护 Fugl-Meyer 评估 |
| DOI： |
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| 基金项目: |
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| Research on Application of Nursing Based on Syndrome Differentiation in Rehabilitationof Shoulder Pain After Stroke |
| YE Zhenzhen |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract：Objective：To observe the application effect of Chinese medicine nursing based on syndrome differentiation in
rehabilitation of shoulder pain after stroke. Methods： A total of 120 cases of patients with shoulder pain after stroke were
divided into the control group and the observation group according to the random number table method， 60 cases in each
group. The control group was given routine nursing，and the observation group was given routine nursing based on syndrome
differentiation. The differences of rehabilitation effect between the two groups were analyzed. Results： After intervention，
the total effective rate was 91.67% in the observation group，higher than that of 78.33% in the control group，the difference
being significant(P＜0.05). Before intervention， there was no significant difference being found in the comparison of the
scores of Fugl- Meyer Assessment(FMA) and Barthel Index(BI) between the two groups(P＞0.05). After intervention， the
above two scores in the two groups were both higher than those before intervention， the difference being significant(P＜
0.05)；the two scores in the observation group were higher than those in the control group，the difference being significant
(P＜0.05). Before intervention， there was no significant difference being found in the comparison of the scores of
Neurological Function Defect Scale(NFD) and Visual Analogue Scale(VAS) between the two groups(P＞0.05). After
intervention，the above two scores in the two groups were both lower than those before intervention，the difference being
significant(P＜0.05)； the two scores in the observation group were lower than those in the control group， the difference
being significant(P＜0.05). Conclusion： The application of Chinese medicine nursing based on syndrome differentiation in
rehabilitation of shoulder pain after stroke can achieve good application effect. |
| Key words: Keywords：Stroke Shoulder pain Rehabilitation Nursing based on syndrome differentiation Fugl-Meyer Assessment |
